First Author: A.Zubicoa SPAIN
Co Author(s): P. Plaza J. Andonegui A. Alcaine M. Mozo L. Tabuenca M. Echeverria
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To report the spontaneous closure of an idiopathic macular hole using optical coherence tomography (OCT)
Full-thickness macular hole (FTMH) is an anatomic defect in the fovea featuring interruption of all neural retinal layers from the internal limiting membrane to the retinal pigment epithelium. Small FTMH have a high closure rate with vitrectomy. However, spontaneous closure is an unusual outcome.
We follow a case of an idiopathic macular hole and its resolution using OCT
A 67-year-old woman presented to our clinic with decreased vision in her right eye. Her past medical history was unremarkable. Best corrected visual acuity was 20/50 in right eye and 20/20 in left eye. Posterior segment examination revealed a blunted foveal light reflex in her right eye. OCT scan showed pseudocysts and a small FTMH (according to the International vitreomacular traction study Group classification). The aperture size was 140 μm. A 1-month follow-up visit the best corrected visual acuity improved to 20/25, OCT scan revealed a decrease in size of the hole. After 6 months, the macular hole resolved spontaneously.
1. Spontaneous closure of an idiopathic FTMH is not comon 2. OCT scans can be used for diagnosis and monitoring the evolution of macular holes.